Kim B.
Mid-Level Healthcare Customer Service Representative
Open to offersNew to PlatformAbout
Kim S. is an experienced Customer Service Representative specializing in the healthcare industry, with a background supporting UnitedHealthcare accounts through a BPO company. Kim handled high-volume inbound calls, assisted U.S.-based healthcare members with insurance verification, claims support, and member inquiries regarding benefits, eligibility, and billing. Demonstrating a thorough understanding of HIPAA compliance and data privacy, Kim ensured all patient information was managed with strict confidentiality and accurately documented in CRM systems. With responsibilities that included resolving denied or delayed claims and guiding customers on dental care, prescriptions, and portal logins, Kim consistently met performance metrics such as AHT, CSAT, and quality standards, contributing to customer satisfaction and operational success in fast-paced environments.
Experience
Customer Service Representative – Healthcare Account
UnitedHealthcare (via BPO Company)Delivered support to U.S.-based healthcare members by addressing inquiries regarding insurance benefits, eligibility, claims, and billing. Verified member information and clearly articulated coverage details. Assisted in the resolution of claims issues, including those that were denied or delayed, to ensure customer satisfaction. Adhered to HIPAA and data privacy regulations while managing sensitive patient information. Recorded all interactions with high accuracy in CRM systems. Managed a high volume of inbound calls while achieving key performance metrics such as AHT, CSAT, and quality standards.
Skills & Expertise
Education
- Bachelor of information and technologyBAGO CITY COLLEGE · 2018 — 2019
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